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Catheter Ablation as the First Line Therapy for Typical Atrial Flutter

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ClinicalTrials.gov Identifier: NCT00213408
Recruitment Status : Terminated (end of the follow-up period)
First Posted : September 21, 2005
Last Update Posted : June 18, 2013
Information provided by (Responsible Party):
University Hospital, Rouen

Brief Summary:
Catheter ablation of typical atrial flutter is a well established technique with a high acute success rate and very low complication and recurrence rates. It has also been shown that ablation of recurrent symptomatic typical atrial flutter led to a clear improvement in quality of life. We sought to evaluate the cost/effectiveness of catheter ablation as the first line therapy in patient suffering from their first symptomatic typical atrial flutter episode. This study is a multicenter trial in which patients with a first symptomatic episode of typical atrial flutter are randomized to undergo ablation or to receive antiarrhythmic drugs after electrical cardioversion. Clinical examination, quality of life questionnaires,12 leads ECG and 24-hour Holter monitoring are performed at 1, 3, 6 and 12 months following randomization.The primary end-point is the absence of recurrence of typical atrial flutter at - and 12 months of follow up. The secondary end points are the cost and the cost/effectiveness ratio of these two approaches.

Condition or disease Intervention/treatment Phase
Atrial Flutter Procedure: Radiofrequency catheter ablation of typical atrial flutter Phase 4

Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 120 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Catheter Ablation as the First Line Therapy for Symptomatic Typical Atrial Flutter: A Multicenter Randomized Study of Cost/Effectiveness
Study Start Date : June 2001
Study Completion Date : January 2007

Primary Outcome Measures :
  1. Absence of typical atrial flutter recurrence at 6 and 12 months

Secondary Outcome Measures :
  1. Cost/effectiveness ratio at 12 months

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • first episode of symptomatic typical atrial flutter
  • > 18 years old

Exclusion Criteria:

  • Prior antiarrhythmic drug treatment for atrial flutter
  • History of cavotricuspid isthmus ablation
  • Pregnancy
  • Hyperthyroidism
  • contraindication for anticoagulant therapy
  • Life expectancy < 1 year
  • contraindication to catheter ablation or to electrical cardioversion

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00213408

CHU de Rouen
Rouen, Seine Maritime, France, 76031
Sponsors and Collaborators
University Hospital, Rouen
Principal Investigator: frederic Anselme, MD, PhD Service de Cardiologie, Rouen University Hospital

Responsible Party: University Hospital, Rouen
ClinicalTrials.gov Identifier: NCT00213408     History of Changes
Other Study ID Numbers: 1999/026/HP
First Posted: September 21, 2005    Key Record Dates
Last Update Posted: June 18, 2013
Last Verified: June 2013

Keywords provided by University Hospital, Rouen:
atrial flutter
catheter ablation

Additional relevant MeSH terms:
Atrial Flutter
Arrhythmias, Cardiac
Heart Diseases
Cardiovascular Diseases
Pathologic Processes